APPENDIX C—VISION TEST FORM

PARTICIPANT NUMBER: __________

VISION TESTS

1. Acuity Test
   
   
   • Acuity Score:________
     
     
2. Contrast Sensitivity Test
   
   
   
   

                                         Left                                                                     Right

   
   
   
   
3. Ishihara Test for Color Blindness

   1._____            4._____            7.____
   2._____            5._____
   3._____            6._____

4. Brightness Acuity Tester (BAT)
   • Acuity Score:
     

     Left	Off_______Low_____ ______Med__________High_____
     Right	Off_______Low_____ ______Med__________High_____

     
     
     
5. Standing Height ________+ 20 inches ______________________

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